The URL can be used to link to this page

Home My WebLink AboutXC2023-0187 - Permits��EWPp�T City of Newport Beach IIIIIIIII IIIIIIIIII�I IIIIIIIIIIIIIIIIIIIIIIIIII III II COMB Permit XC2U23'U1$7 Community Development Department - Building Division X C 2 0 2 3 0 1 8 7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO : PC2023-1320 G >h = Permit Counter Phone: (949) 718-1888 Issued Date : 06/2812023 .s. newportbeachca.gov/civic Inspection Area : 7 CqG/F00.��P Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 800 NEWPORT CENTER DR, 1D0 Description: COMM TI "ANKONA MANAGMENT 2982 SF Owner: IRVINE COMPANY LLC Address : 111 INNOVATION DR IRVINE, CA 92617 Phone: (949)720-3100 Applicant: JAMIE PHAM Address : 18600 MACARTHUR BLVD, 100 IRVINE, CA 92612 Phone: (949)608-3771 Owner/Builder : Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks: Flood Zone Use Zone : 2022 I -A PC - North Newport Center PROCESSED BY: Legal Desc : P BK 136 PG 22 PAR 1 Contractor: PACIFIC TUSK BUILDERS CORP Address : 1100 QUAIL ST #213 NEWPORT BEACH, CA 92660 Phone: (213)999-5696 Con State Lie : 946368 Lie Expire: 04/30/2024 Bus Lie : BT30038640 Bus Lie Expire : 03/31/2024 Workers' Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WSD5041971 W. C. Expire : 7/1/2023 Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories: Architect : ALGAZE NELSON Address : 6083 BRISTOL PKWY CJLVER, CITY, CA 90230 Phone: (213)929-1400 State Lie : CO21090 Engineer: Address Phone: Designer: Address Phone: YES Construction Valuation : $95,041.00 NO Added/NeWITI sq. ft. Bldg : 0 0 Alteration sq. ft. Bldg : 2,982 7 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031 5, Business and Professions Code: Any city or county that requires a permit to construct. alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for he permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofssskms.Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a Civil penalty of lot more than five hundred dollars ($500). I, as owner Of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is notintended or offered for sale (Section 70", 3usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the. property, provided that the mprovements are not Intended or offered for sale. If, however, the building or Improvement is sold within oils year of completion., the Owner -Builder will have the burden of proving that It was not built or mproved for the purpose of sale). 1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Imply to an owner of property who builds or Improves thereon, and who contracts for the projects With a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensors under the Contractors' State License Law for the following reason: 3y my signature below I acknowledge that, except for my personal residence In which I must have resided for at least one year prior to completion of the Improvements covered by this permit, I cannot legally ,all a structure that I have built as an ownor-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Irofessions Code, is available upon request when this application is submitted orat the following Web site:http:/tw n .leginfo.ce.govlcalaw.btmi. Signature of Property Owner or Authorized Agent _ Date _ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter g (commenting with Section 70 ) f D,v€s€on 3 of the Business and Profe� Ions d� my license Is In full force Ind effect. License Cl,ss License No Date 2 �' 23 Contractor Signets g,��/-C/"- NORKERS' COMPENSATION DECLARATION rARNING:. FAILURE TO 4ECLRE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, ryter'eby affirm under penalty of perjury one of the fallowing declarations: ,2-r-have and will rrairtain a certificate of consent to seWinsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN arfo�alce of the work for which this permit Is issued. Policy No. < v9 and wR! m,aintOn workers' compensation 'insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit. is issued. My workers' compensatior isurance carrier and policy number are: Policy Number Expiration Date of agent ca. G3 that, in the performance of the work for which this permit is issued. I shell not employ any person in any manner so as to become subject to the workers' compensation laws of California, and 'f' chould I Lcowe subject toQhe workers' rompense On provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iature of Applicant Dale 2 � 2 3 `1 AOATIf141 OC2AETi1Jf}. r`/1MQTOIIr"TI� 1 1 Uri t` hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or county to r the a ve-1 er}tQied property for inspection purposes. ieaature of Pronertv Owner Or Authorized AI Print Prnnertv nwner's nr Aothnri7wtl Ancnt's Name,/ N v� ACTION I DATE. p BY DECLARATI OF C MPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY E REGULATIONS 61OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LJ 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITEXTENDEDLdAOMO -TI IAL A58ESTO5 NOTIFICATION IS NOT APPLICABLE TO CERTIFICArE OF OCCUPANCYiSSUED